耳穴压豆联合足三里穴位贴敷对妇科腹腔镜术后患者胃肠功能恢复的疗效观察

Effect of auricular point pressing beans combined with Zusanli point sticking on gastrointestinal function recovery in patients after gynecological laparoscopic surgery

目的探讨耳穴压豆联合足三里穴位贴敷在妇科腹腔镜术后患者促进胃肠功能恢复中的效果。方法选取2019年6月至2019年11月在宁波市妇女儿童医院因子宫肌瘤、卵巢囊肿在全麻下行腹腔镜手术,并在宁波市妇女儿童医院进行术后恢复的110例患者为研究对象,采用随机数字表法分为观察组(n=55)与对照组(n=55)。对照组术后给予腹腔镜术后常规护理;观察组予以术前耳穴压豆联合术后足三里穴位贴敷来促进术后胃肠功能的恢复。比较观察组和对照组患者术后肠鸣音恢复时间和术后首次肛门排气时间,以及术后呕吐、腹胀发生率。结果观察组腹腔镜术后肠鸣音恢复时间为(16.33±2.48)h,明显短于对照组的(25.50±2.20)h;首次肛门排气时间为(21.22±2.45)h,明显低于对照组的(32.17±2.09)h,差异均有统计学意义(t=19.59、24.06,均P<0.05)。观察组术后呕吐发生率为5.45%,明显低于对照组的21.82%;观察组腹胀发生率为10.91%,明显低于对照组的32.73%,差异均有统计学意义(χ^2=19.59、24.06,均P<0.05)。结论在妇科腹腔镜手术中,术前应用耳穴压豆联合术后足三里穴位贴敷,能够促进术后胃肠功能的早期恢复,值得推广。

Objective To study the effect of auricular point pressing beans combined with Zusanli point sticking on the recovery of gastrointestinal function in patients after gynecological laparoscopic surgery.Methods From June 2019 to November 2019,110 patients who underwent laparoscopic surgery under general anesthesia for hysteromyoma and ovarian cyst in Ningbo Women and Children Hospital and recovered after surgery were selected in the study.They were randomly divided into the experimental group(n=55)and the control group(n=55)by random number table method.The control group was given routine nursing after laparoscopic operation.The observation group was given auricular point pressing beans before surgery combined with Zusanli acupoint sticking after operation to promote the recovery of gastrointestinal function.The time of postoperative bowel sound recovery,the time of the first postoperative anal exhaust,and the incidence of postoperative vomiting and abdominal distension were compared between the experimental group and the control group.Results The recovery time of bowel sounds after laparoscopy in the observation group was(16.33±2.48)h,which was significantly shorter than that in the control group[(25.50±2.20)h],and the first anal exhaust time in the observation group was(21.22±2.45)h,which was significantly shorter than that in the control group[(32.17±2.09)h],the differences were statistically significant(t=19.59,24.06,all P<0.05).The incidence of postoperative vomiting in the observation group was 5.45%,which was significantly lower than 21.82%in the control group,and the incidence of abdominal distension in the observation group was 10.91%,which was significantly lower than 32.73%in the control group,and the differences were statistically significant(χ^2=19.59,24.06,all P<0.05).Conclusion In gynecological laparoscopic surgery,the application of auricular point pressing beans combined with Zusanli point sticking after operation can promote the early recovery of gastrointestinal function,which is worthy of popularizing.